| NPI | 1023407749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017260) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2797) |
| 225100000X Physical Therapist (Licence: IA 004443) | |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2023-12-11 |